DIFFERENCES IN SELF-REPORTED MORBIDITY BY MARITAL-STATUS AND BY LIVING ARRANGEMENT
DIFFERENCES IN SELF-REPORTED MORBIDITY BY MARITAL-STATUS AND BY LIVING ARRANGEMENT
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DOI：
10.1093/ije/23.1.91
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发表时间：
1994-02-01
影响因子：
7.7
通讯作者：
MACKENBACH, JP
中科院分区：
文献类型：
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作者：
JOUNG, IMA;VANDEMHEEN, H;MACKENBACH, JP
经常有证据表明，从未结婚、离婚和丧偶的人自我报告的发病率高于已婚者。这项研究的目的是评估在多大程度上可以通过生活安排的差异（即是否与伴侣生活）来解释婚姻状况导致的发病率差异。如果生活安排发挥了重要作用，人们预计会发现：1。与伴侣同住的人比独居的人发病率低; 2.在控制了生活安排后，婚姻状况对发病率的影响显著降低。来自地球仪研究的数据，一个在荷兰的大型前瞻性队列，来自埃因霍温及其周边地区的18973人，年龄在15-74岁，被用来检验假设。发病率的措施是自认为的一般健康，主观健康投诉，慢性病和工作残疾。采用多元logistic回归模型计算生活安排（问题1）和婚姻状况（首先无控制，随后有控制生活安排（问题2））的发病率比值比。在所有模型中，我们控制了其他社会人口变量（年龄，性别，教育水平，城市化程度，宗教和出生国）。我们的分析表明，与伴侣生活在一起的人比独居的人发病率低。他们进一步表明，在控制居住安排后，未婚、丧偶和离婚者的所有健康指标（除主观健康投诉外）的超额风险降低了40-70%。但在控制了居住安排后，不同婚姻状况的患病率差异仍有统计学意义，尤其是离婚者患病率仍高于已婚者。
It has frequently been shown that the never married, divorced and widowed have higher rates of self-reported morbidity than married people. The purpose of this study was to assess to what extent morbidity differences by marital status can be explained by differences in living arrangement (i.e. living with a partner or not). If living arrangement plays a major role, one expects to find that: 1. people who live with a partner have lower morbidity rates than those who live alone; 2. morbidity differences by marital status decrease substantially after controlling for living arrangement. Data from the GLOBE study, a large prospective cohort in the Netherlands, on 18 973 people from Eindhoven and its surroundings, aged 15-74, were used to test the hypotheses. The measures for morbidity were perceived general health, subjective health complaints, chronic conditions and work disability. Multiple logistic regression models were used to calculate odds ratios for morbidity by living arrangement (question 1) and for morbidity by marital status, firstly without control and subsequently with control for living arrangement (question 2). In all models we controlled for other socio-demographic variables (age, sex, educational level, degree of urbanization, religion and country of birth). Our analyses showed that people who live with a partner have lower morbidity rates than those who live alone. They further showed that the excess risks of the never married, widowed and divorced decreased by 40-70% for all health measures (except subjective health complaints) after controlling for living arrangement. After control for living arrangement, however, there were stili statistically significant morbidity differences by marital status, in particular the divorced still had higher morbidity rates than married people.